PRINCE O EZEALA

EDMOND, OK
NPI1437459229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies225C00000X Rehabilitation Counselor
Enumeration Date2010-10-26
Last Update Date2013-10-15
Business Address
-- PRINCE O EZEALA
1713 VICTORIA DR
EDMOND, OK 73003-3860
Phone number: 405-471-2298
Mailing Address
-- PRINCE O EZEALA
505 NE 46TH ST
OKLAHOMA CITY, OK 73105-3314
Phone number: 405-270-0005
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